Jamie Reilly

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC01012300 Issued in NJ

Practice address

50 Birchview Dr
Piscataway, NJ 08854-3531

Phone

(848) 828-0678

NPI assigned

Mar 1, 2024

Last updated

Mar 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rooted and Rising Psychotherapy Group

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  • NPI 1871447763
  NPD Authorized official
• Modern Therapy, LLC

  • Psychologist
  • Eatontown, NJ
  • NPI 1861910747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1780441279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BIRCHVIEW DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543531",
            "telephone_number": "848-828-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BIRCHVIEW DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543531",
            "telephone_number": "848-828-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC01012300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regal Group Homes
• Cailyn Regan, MD
• William Reichman, MD
• Kirsten Reid, LSW
• Gilbey Anne Reilly, LPC
• Jillian Lee Reilly, MSW, LCSW
• Patrick Elliot Reiss, NCC
• Rem New Jersey, Inc.
• Paria Remolina, MD
• Renew Counseling Consulting and Wellness Services LLC

• Counselor in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.